His & Hers Fertility Test

Worried or anxious about your current or future fertility? Why not put your mind at rest and take our ‘His & Hers’ fertility test?

The Sims IVF 'His & Hers' fertility test has been designed for couples and individuals who have recently started trying to conceive or who are considering trying for a baby in the future. For most couples it will give you the all clear, for some the results may not be completely normal and will then allow you to focus in on those issues at an early stage.

The Sims IVF 'His & Hers' fertility test is a panel of tests which is designed to give you an overview of your current fertility status as a couple. We also invite women without a male partner to attend for testing. The cost of this panel of tests is €300 for a couple, €160 for individual females and €150 for individual males. The tests will be performed in a single visit, subsequently you will receive a scheduled phone consultation with one of our specialist consultants to discuss the outcome of testing. To book an appointment, you will need to complete the registration form below (this will take approximately 10 minutes) then press the “submit” button. You will then be contacted by a member of our patient co-ordination department who will assist you with scheduling your appointment, these appointmets are available every Thursday afternoon at 3.30pm or 3.45pm. At this time, a non-refundable booking deposit of €100 is payable by credit/debit card. The balance will be due on the day of your appointment.

What does it include?

Anti-Müllerian Hormone (AMH)

Thyroid Stimulating Hormone (TSH)

Prolactin Hormone

Semen Analysis

Phone Consultation with one of our consultants to discuss results

Copies of Test Results

Anti-Müllerian Hormone (AMH or “egg count”)

AMH is produced only in small ovarian follicles and blood levels have been used to attempt to measure the size of the pool of growing follicles in women. Research shows that the size of this pool of growing follicles is heavily influenced by the size of the pool of microscopic follicles you developed as a baby. Therefore, AMH blood levels are thought to reflect the size of the remaining egg supply - or “ovarian reserve”. With increasing age the size of the pool of remaining microscopic follicles decreases. Likewise, blood AMH levels and the number of ovarian follicles visible on ultrasound also decreases. Women with many small follicles, (such as those with polycystic ovaries) have high AMH hormone values while women that have very few remaining follicles and those that are close to menopause have low anti-mullerian hormone levels. It should be remembered that measuring AMH alone cannot predict whether a woman is able to become pregnant – there are other important factors that have to be taken into account including lifestyle, past medical history, anatomic and genetic abnormalities, quality of sperm and other male factors - but it is still considered the best hormone to help identify your potential long term fertility.

Thyroid Stimulating Hormone (TSH)

Thyroid hormones are essential and primary regulators of the body’s metabolism and imbalances can affect virtually every metabolic process in the body, including significant effects on mood and energy levels. Thyroid function has a profound impact on overall health via:

Prolactin

Prolactin is a hormone produced in the pituitary gland. An imbalance can impact of fertility.

Semen Analysis

Where and when should a sample for semen analysis be produced?

A sterile sample pot should be bought from your local pharmacy or one can be collected from the clinic in advance. Samples should be produced at home and brought into the clinic within an hour and a half approximately for analysis.

Samples are generally produced by masturbation or if a sample cannot be produced in this manner, by intercourse using a special condom without a spermicide (provided by the clinic if requested). Regular condoms or any kind of lubricant MUST NOT BE USED when producing the sample as these can contain spermicides which can kill the sperm.

A semen analysis should be carried out following 2-3 days of abstinence from intercourse or masturbation. Shorter or longer periods of abstinence could result in a misrepresentative result. (e.g. if your appointment is on Thursday you should ejaculate on the Monday or Tuesday and not again until producing the sample).

What is assessed in a semen analysis?

The volume of the sample:

The WHO (1999) quotes 2 milliliters (about half a teaspoon) or more as the normal volume for an ejaculate.

The number of sperm that are present in the sample:

This figure is often described as the ‘count’, although it is actually the ‘concentration’ of sperm, i.e. the number of sperm in each milliliter of the sample. The WHO (1999) quotes 20 million sperm per milliliter or more as a normal count.

The percentage of the sperm in the sample that are swimming (the motility) and how well the sperm are swimming (the progression):

The WHO (1999) states that in a normal sample, half (50% or more) of sperm or more should be actively swimming.

The proportion of sperm that have normal size and shape (the morphology):

Morphology can be assessed by different methods and routine semen analysis involves examining a fresh sample. In a normal sample, 35% or more of the sperm would be expected to show a normal morphology (shape).

The presence of anti-sperm antibodies on the sperm:

The WHO (1999) defines binding of anti-sperm antibodies to 50% of sperm as clinically significant, with a potential impact on fertility.

Test Results

Following 'His & Hers' testing, you will receive a scheduled phone call with one of our specialist consultants to discuss the test outcomes. The consultant will make recommendations regarding your fertility planning or ways to improve your fertility for the future. Copies of your test results will then be posted out to you after your phone consultation.

General Information

Please do not supply your GP's details below if you do not wish for a copy of your results to be sent to your GP.

GP Name

GP Address

How did you hear about his and hers fertility day

Your Partner

Partner's Name

Partner's Date Of Birth

Partner's mobile telephone

Partner's Personal Email Address

Partner's Occupation

Partner's Known Allergies

Partner's GP Name

Partner's GP Address (Full Postal Address)

Female Patient Medical History

Please complete this form to the best of your knowledge. If there are any question you are uncertain about, do not worry. The details will be discussed with the doctor at the first appointment. The form will take some time to complete. if you have any questions or queries, please do not hesitate to contact us.

If you have further information, medical records or otherwise, please bring them to the first appointment so that your doctor can review them.

Have you ever undergone an operation? (If so, please give details including the year).

Operation 1

Operation 2

Operation 3

Are you currently on any medications?

How long have you been trying to conceive?

Have you used contraception before?

Are you currently attending a medical doctor or being treated for an illness or medical condition?

Have You Had Any Illnesses Or Been Treated For A Medical Condition In The Past

Do You Have An General Medical Complaints At Present

Are You Currently Using Any Non Fertility Medication

Have You Ever Had Any Problems In Any Of The Following AreasEndocrineSexually Transmitted DiseaseRespiratoryInfectious DiseaseCardiovascularGastrointestinalRenalMusco-SkeletalNervousOther

Do You Suffer From Any Known Allergies

Social History

If you smoke how many cigarettes do You smoke per day?

If you are no longer a smoker when did you give up smoking?

If you drink alcohol how many units do you consume per week?

Do you or have you taken any form of recreational drugs?

Family History

Has a member of your immediate family died from a chronic illness or disease?

Are there any significant inherited diseases or genetic conditions in your family that you are aware of?

Menstrual History

At what age did you get your first period?

Do you get mid-cycle discomfort or vaginal mucus at your fertile time (ovulation)?

Do you use a pad or a tampon or both?

Do You Get Clots With Your Period?

Are your periods excessively heavy or painful? If they are painful, what painkillers do you take?

Do you notice bleeding between periods?

How often do your periods come?

How long do they generally last?

Date of Last Menstrual period?

Gynaecology History

Have you had any cervical procedures performed?

Do you have any concerns about your sexual life?

Do you experience bleeding after sex?

Do you experience any pain during sex?

Have you suffered from any of the following gynaecologic conditions? DysmenorrhoeaPMSDeep DyspareuniaChronic Pelvic PainIntramenstrual BleedingPCO or PCOSRecurrent Vaginal BleedingEndometriosisPelvic Infection / Sexually Transmitted DiseaseOther

When Was Your Last Pap Smear Result

Have You Had Any Previous Abnormal Pap Smears

Obstetric History

Have Been Pregnant Before

If the answer is yes, please provide any information you can below.

Number Of Pregnancies

Number Of Deliveries

Number Of Live Births

Number of term pregnancies (38-42 weeks)

Number Of Preterm Pregnancies

Number Of Ectopic Pregnancies

Number Of Spontaneous Abortions

Number Of Therapeutic Abortions

Number Of Still Births

Number Of Neonatal Deaths

Previous Treatment

Have You Had Previous Fertility Treatment

Details

Male partner Medical History (If Applicable)

Are You Currently On Any Medications?

Do You Have Any General Medical Complaints At Present

Have You Had Any Illnesses Or Been Treated For Any Medical Condition In The Past

Are You Currently Attending A Medical Doctor Or Being Treated For A Medical Condition

Fertility / Andrology

Have You Ever Had A Semen Analysis Carried Out

If Yes What Was The Result

Have You Been Responsible For Any Pregnancies In The Past Number

Have You Ever Experienced A Groin Injury Or Undergone Groin Surgery

Have You Any History Of Operations Involving The Reproductive System

Do You Have Undescended Testicles

Did You Ever Have Mumps

If Yes Was This As A Child Or An Adult

Male Partner: Do You Have Any Concerns About Your Sexual Life

Social History

Male Partner: If you smoke how many cigarettes do you smoke per day?

Male Partner: If you are no longer a smoker, when did you give up smoking?

Male Partner: If you drink alcohol, how many units do you consume per week?

Do you or have you taken any form of recreational drugs?

Surgical History

Have you ever undergone an operation? If so please give details:

Operation 1

Operation 2

Operation 3

Male Partner: Have you ever had any problems in any of the following areas?EndocrineSexually Transmitted DiseaseRespiratoryInfectious DiseaseCardiovascularGastrointestinalRenalMusco-SkeletalNervousOther

Male Partner: Do you suffer from any known allergies?

Male Partner: Has a member of your immediate family died from a chronic illness or disease?

Male Partner: Are there any significant inherited diseases or genetic conditions in your family that you are aware of?

Additional Comments

Additional Comments

Please tell us where you would like to make your appointment

Would you like to be called by us?

If you fill out this information our new patient co-ordinator will contact you within 24 hours.